NPI | 1801288253 |
---|---|
Former Name | LAUREN K BOHORFOUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1026) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL PA.1026) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2025-06-06 |